• Title/Summary/Keyword: Self-insight

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The Insight Paradox among Outpatients with Schizophrenia (조현병 외래 환자에서 병식 모순)

  • Kim, Tae Yong;Kim, Jun Gee;Kim, Chul Kwon
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.56-65
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    • 2019
  • Objectives: The primary objective was to test the phenomenon known as the insight paradox, which refers to the association between higher levels of insight and lower self-esteem, higher hopelessness, and a higher perception of social prejudice among patients with schizophrenia. Methods: A total of 216 outpatients with schizophrenia according to the DSM-IV diagnostic criteria were recruited. All participants were receiving ongoing outpatient treatment and were in a stable phase of the disorder. The participants were divided into a good-insight (N=109) and a poor-insight (N=107) group by the direct interview and the mean score of questionnaire. The parameters used for analysis and comparison were demographic variables (age, gender, education), clinical variables (age at onset, number of hospitalizations), self-esteem, hopelessness, self-stigma, and quality of life. Results: Compared with the poor-insight group, the good-insight group was found to have a lower number of hospitalizations, lower self-esteem, higher hopelessness, lower quality of life, and a higher level of internalized stigma. Conclusion: The insight can cause the negative consequences in patients with schizophrenia. Therefore, clinicians should pay attention to the negative aspects of insight for improving the quality of life in the treatment of patients with schizophrenia.

Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students (간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향)

  • Ahn, Ju Hyun;Kim, Myoungsuk
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.176-184
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    • 2020
  • Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.

Are college athletes' self-reflection and insight related to performance?

  • Deokjin, Kim
    • International Journal of Advanced Culture Technology
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    • v.10 no.4
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    • pp.148-152
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    • 2022
  • The purpose of this study was to investigate whether there is a difference in self-reflection and insight according to the performance level of college athletes. A total of 395 (210 male, 185 female) college athletes from 6 universities were sampled. The level of performance was divided into upper, middle, and lower groups based on the results of matches played in the past 1 year. To measure self-reflection and insight, THE SELF-REFLECTION AND INSIGHT SCALE developed by Grant et al. [4] was used. As a result, there was a statistically significant difference according to the level of performance, and as a result of post-hoc(scheffe) analysis, the upper group of performance was higher than that of the middle group and the lower group.

Factors influencing on Recovery in Alcohol Dependent Patients (알코올의존자의 회복에 영향을 미치는 요인)

  • Choi, Yeon Sook;Woo, Ju Hyun;Hyun, Myung Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.2
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    • pp.109-116
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    • 2012
  • Purpose: This study was conducted to investigate influencing factors on recovery among alcoholics. Methods: The participants were 123 hospitalized patients with alcohol use disorder in two hospitals in Gyeonggi province. The data were collected from May 16 to June 4, 2012 using self-report questionnaires including Hanil Alcohol Insight Scale, Alcohol Abstinence Self-Efficacy Scale, and Recovery Scale. The data were analyzed using the SPSS/Win 18.0 program with descriptive statistics, Pearson's correlation coefficient and regression analysis. Results: Recovery is positively related to abstinence self-efficacy and duration of abstinence. Recovery differed by insight type, gender, and occupation. Insight, duration of abstinence, gender, and occupation accounted for 59.1% of the variance in recovery of the alcoholics. Conclusion: The influencing factors on recovery among alcoholics were insight, duration of abstinence, gender, and occupation. Programs focusing on insight, abstinence self-efficacy, and abstinence maintenance should be developed and provided. When developing the programs, the environmental context in which the alcoholics work should be considered.

A Study on the Factors Affecting the Spiritual Well-Being of Mentally Disabled Residents of Institutions (시설거주 정신장애인의 영적 안녕감에 영향을 미치는 요인)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.231-241
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    • 2014
  • The purpose of this study was to identify the factors affecting the spiritual well-being of mentally disabled residents of institutions. The data were collected from July 1 to 25 in 2014. Data were collected by questionnaire from 145 mentally disabled residents of institutions. The instruments for this study were social support, self-esteem, depression, insight, spiritual well-being. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the degree of social support, self-esteem, insight and spiritual well-being was higher than and depression was lower. The significant factors influencing spiritual well-being were depression (${\beta}=-.32$, p<.001), insight (${\beta}=-.21$, p=.003), social support (${\beta}=-.21$, p=.006) and self-esteem (${\beta}=-.18$, p=.047). The study reveals that it is necessary to develop a program that decreases depression and increases insight, social support and self-esteem.

Validity and Reliability of the Self-Reflection and Insight Scale for Korean Nursing Students (간호대학생의 자기-성찰 및 통찰력 측정도구 타당도 및 신뢰도 검증)

  • Song, Mi Ok;Kim, Heeyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.1
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    • pp.11-21
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    • 2018
  • Purpose: The purpose of this study was to translate the Self-Reflection and Insight Scale (SRIS) into Korean and test its validity and reliability. Methods: Participants were 340 nursing students who were recruited from 5 nursing colleges in Korea. Data were collected from November 21 to December 20, 2016 and analyzed using the IBM Statistics SPSS 22.0 and AMOS 23.0 programs. Exploratory factor analysis, Confirmatory factor analysis, and concurrent validity analysis were performed. Results: For the Korean-SRIS (K-SRIS) 4 items were deleted from the original SRIS. The final scale consisted of 16 items which were sorted into- the 2 factors: self-reflection (11 items), insight (5 items). The cumulative percent of variance was 50.91%. The statistically significant correlation between K-SRIS scores and the Reflection in Learning Scale (RLS) support the concurrent validity of the K-SRIS. The reliability of the scale, Cronbach's ${\alpha}$ was .83. Conclusion: The finding indicate that the K-SRIS has validity and reliability. Therefore it can be used for measuring and developing reflection ability in nursing students.

Effects of Personal Character Variables on Burnout of Child Counselors (아동상담자의 의욕상실에 대한 상담자 개인적 특성의 영향)

  • Park, Hui Hyun;Kim, Kwang Woong
    • Korean Journal of Child Studies
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    • v.27 no.3
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    • pp.29-51
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    • 2006
  • The 191 subjects of this study were counselors working with children under 18 years of age. The instrument was validated in an antecedent study and used after testing for reliability. Data were analyzed by Cronbach' a, quantification methods I, and multi-regression analysis. Results showed demographic variables at 5% of ad-$R^2$ over total burnout. Hobbies, counseling career, religion, and major field of study were significant. Marital status and caseload affected 'doubt about job.' Counseling field, qualifications and academic career affected 'negative personal relationship' and 'symptoms of somatization.' Psychological variables were 48% of ad-$R^2$ over total burnout. Self-esteem, type AB, self-insight and empathy ability for countertransference management ability were significant. Lower self-esteem, stronger type A personality, higher self-insight and lower empathy ability, produced higher degree of burnout.

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Schizophrenic Patients Impact on Quality of Life (조현병환자의 삶의 질에 미치는 영향요인 연구)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.1
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    • pp.53-58
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    • 2018
  • The study was done to compare quality of life by family therapy, self-esteem f teem insight factors which explain quality of life in individuals with schizophrenic patients. A questionnaire survey was conducted with 125 schizophrenia people in C region. The data were analyzed by SPSSWIN 21.0, t-test, ANOVA and Pearson correlation coefficient calculation and multiple regression analysis. The results were as follows. Impact quality of life of clients showed significant difference by religion, support team(p<.05). Quality of life were positively correleated with self-esteem and family support. Multiple regression analysis showed that 49.5% of the self esteem, insight, family support showed the quality of life. Development of programs for strengthening family support and self esteem is required for proper quality of life.

The Effects of Supervisor Supports on Novice Counselor's Psychological Burnout : The Mediating Effects of the Countertransference Management Ability (수퍼바이저의 지지가 초심상담자의 심리적 소진에 미치는 영향 : 역전이 관리능력의 매개효과)

  • Hyun, Min-Hong;Hong, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.301-319
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    • 2018
  • The purpose of this research was to verify the mediating effects of countertransference management ability and each of its subscales, i.e. self-insight, self-integration, empathy ability, anxiety-management, and conceptualizing skills, in the effect of supervisor supports on psychological burnout of novice counselors. For this purpose, 202 novice counselors who have experience of supervision less than 3 years in counseling experience were studied. The results of the analysis were as follows : First, The supervisor supports were positively related to countertransference management skill and all its five subscales. Additionally, supervisor supports, countertransference management skill, and its five subscales were proved to negatively related to psychological burnout. second, The verification of mediating effects of countertransference management skill in the relationship between supervisor support and psychological burnout demonstrated the complete mediation. third, The self-integration, empathy ability, anxiety-management completely mediated the relationship between supervisor supports and psychological burnout. and The self-insight, conceptualizing skills partially mediated the relationship between supervisor supports and psychological burnout. These results confirmed that countertransference management skill is a strong influential factor between supervisor supports and psychological burnout. Implications for clinical practice and directions for future research were also discussed.

A Study on the Self-care of the Menopausal Symptoms of Middle-Aged Women (중년 여성의 갱년기 증상과 자기건강관리 (Self-Care)와의 관련성 조사연구)

  • 김희은;김초강
    • Korean Journal of Health Education and Promotion
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    • v.10 no.1
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    • pp.72-86
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    • 1993
  • The purpose of this study is to find out the menopausal symptom of middle-aged women and their self-care on it. This study also intended to awaken the relationship of the menopausal symptom and self-care and to provide basic data on the health education of middle-aged women. For this purpose, the study (1) identified respondents background variables, (2) found menopausal symptom and the state of self-care, (3) analyzed relationship between general character, menopausal symptom, and self-care, (4) analyzed the relationship of menopausal symptom and self-care for 543 random sampled women in City of Incheon. The questionnaire consisted of 25 questions on the menopausal symptom interview by Neugarton translated by Jung Hae Ran(1985) and questions of the self-care inventory by Orem reconstructed by Sung Moon Hee(1988). The data were analyzed by using frequency, percentage, t-test, X²-test, pearson's correlation coefficient with SPSS statistical package. The results of this study could be summed up as follows ; 1. The Degree of menopausal symptom were graded from 25 to 75. (x 40.85, s. d. 8. 6.) 2. The test of relationship between the individual background and the menopausal symptom revealed that there seemed to be statistically significant correlation between the sexual life, life-content, the level of education, menstruation(p<0.000). 3. In the test of relationship between the individual background and the self-care process, (1) in case of insight of symptom, there seemed to be statistically significant correlation between the self-content(r=0.1463), sexual life(r= -0.1376), menstruation(r=0.1561), and artificial abortion(r=0.1577), (p<0.001), (2) In case of self-health control, there seemed to be statistical correlation between the states of menstruation and the number of induced abortion. (3) In case of self-health decision, there seemed to be statistically significant correlation between the number of visiting hospitals or clinics and the level of education(r=0.106), the self-content(r=0.1235), induced abortion(r=0.1343) (p<0.0000). And also individual background can show the 40.21 percent of self-health maintenance. 4. The relationship between menopausal symptom and self-care has a significant meaning to the insight of symptom, self-health decision according to the groups of menopausal symptom(p<0.000), but it doesn't have any meaning to self-health control. And self-health maintenance can manifest the 19.88 percent of menopausal symptom.

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